The Influence of Beliefs About Health and Illness on Foot Care in Ugandan Persons with Diabetic Foot Ulcers
نویسندگان
چکیده
Diabetes mellitus is becoming pandemic, particularly affecting Sub-Saharan Africa, and the prevalence of complications is increasing. Diabetic foot disorders are a major source of morbidity and disability. Delay in the health care process due to patients' beliefs may have deleterious consequences for limb and life in persons with diabetic foot ulcers. No previous studies of beliefs about health and illness in persons with diabetic foot ulcers living in Africa have been found. The aim of the study was to explore beliefs about health and illness among Ugandans with diabetic foot ulcers that might affect self-care and care seeking behaviour. In an explorative study with consecutive sample semi-structured interviews were held with 14 Ugandan men and women, aged 40-79, with diabetic foot ulcer. Knowledge was limited about causes, management and prevention of diabetic foot ulcers. Foot ulcers were often detected as painful sores, perceived to heal or improve, and led to stress and social isolation due to smell and reduced mobility. Most lacked awareness of the importance of complete daily foot care and seldom practised self-care. Health was described as absence of disease and pain. Many feared future health and related it to contact with nurses in the professional sector from whom they sought information, blood tests and wound dressings and desired better organised diabetes clinics offering health education and more opening hours. Many have an underutilised potential for self-care and need education urgently, delivered in well-organised diabetes clinics working to raise awareness of the threat and prevent foot ulcers.
منابع مشابه
تأثیر آموزش به شیوه سخنرانی و چندبعدی بر بهبود زخم پای دیابتی و پایبندی بیماران به توصیه های مراقبتی
Background and Aim: Some patients with diabetes do not follow the foot care recommendations. Methods of patient education may affect the rate of compliance and ulcer healing. The present study aimed to compare the effects of teaching by lecture and multimodal method on compliance with foot care recommendations and healing of diabetic foot ulcers in kashan city, during 2011. Material &Method...
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عنوان ژورنال:
دوره 7 شماره
صفحات -
تاریخ انتشار 2013